Individual provider · Type 1 NPI

Doyle G. Stark Jr., PAC

Medical Physician Assistant · Lawton, OK

NPI number 1942295779 Active

Practice location

3401 W Gore Blvd
Lawton, OK 73505

Call (580) 510-7037 Map

Fax (580) 510-7038

Mailing address

PO Box 785
Lawton, OK 73502

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X491 (OK)

Medical Physician Assistant: Definition to come...

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About NPI 1942295779

Doyle G. Stark Jr., PAC's National Provider Identifier is 1942295779, issued on Sep 19, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lawton, OK. The record was last updated on Aug 4, 2008.